Endocrine Nursing Flashcards
7 cards from real MSNCB practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Endocrine Nursing flashcards as text
A patient taking glucocorticoids long-term should be monitored for which common adverse effect related to glucose metabolism?
Answer: Steroid-induced hyperglycemia or diabetes
Glucocorticoids antagonize insulin action and stimulate hepatic gluconeogenesis, causing hyperglycemia and potentially steroid-induced diabetes.
Which symptom cluster in a post-thyroidectomy patient should prompt the nurse to assess for laryngeal nerve damage?
Answer: Hoarse voice, difficulty speaking, and stridor
Hoarseness, weak voice, and stridor after thyroidectomy suggest recurrent laryngeal nerve injury, which can compromise the airway.
A patient with type 2 diabetes reports frequent hypoglycemic episodes before dinner. The nurse should recommend discussing which medication adjustment with the provider?
Answer: Reducing the lunchtime rapid-acting insulin dose
Pre-dinner hypoglycemia often indicates excessive lunchtime rapid-acting insulin; reducing that dose addresses the timing and prevents the pattern.
Which nursing action is MOST appropriate for a patient with myxedema coma?
Answer: Provide IV thyroid hormone, keep warm, and monitor for respiratory failure
Myxedema coma requires IV thyroid hormone replacement, external rewarming, airway support, and close monitoring for respiratory failure due to decreased respiratory drive.
When teaching foot care to a patient with diabetes and peripheral neuropathy, which instruction is MOST important?
Answer: Inspect feet daily and report any sores or changes immediately
Daily foot inspection is essential because neuropathy masks pain, allowing ulcers to progress undetected; early reporting prevents amputation.
A patient with acromegaly would MOST likely present with which assessment findings?
Answer: Coarsened facial features, enlarged hands and feet, and prognathism
Acromegaly results from excess GH in adults, causing coarsening of facial features, prognathism (jaw protrusion), and enlargement of hands and feet.
A patient on long-term lithium therapy is at highest risk for which endocrine disorder?
Answer: Hyperparathyroidism and hypothyroidism
Lithium commonly causes hypothyroidism by blocking thyroid hormone synthesis and release; it also raises PTH levels, leading to hypercalcemia and hyperparathyroidism.